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Secondary hypertension: a condition not to be missed
  1. Norlela Sukor
  1. Endocrine Unit, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
  1. Correspondence to Associate Professor Dr Norlela Sukor, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, 56000 Cheras, Kuala Lumpur, Malaysia; drlela2020{at}


Hypertension is a chronic disorder which often entails debilitating cardiovascular and renal complications. Hypertension mostly arises as a complex quantitative trait that is affected by varying combinations of genetic and environmental factors. Secondary hypertension has been encountered with increasing frequency. The common causes of secondary hypertension include renal parenchymal disease, renal artery stenosis, primary aldosteronism, phaeochromocytoma, and Cushing's syndrome. The detection of a secondary cause is of the utmost importance because it provides an opportunity to convert an incurable disease into a potentially curable one. Early identification and treatment will provide a better opportunity for cure, prevent target organ damage, reduce socioeconomic burden and health expenditure associated with drug costs, and improve patients' quality of life. Hence, it is a condition not to be missed.

  • Secondary hypertension
  • endocrine hypertension
  • primary aldosteronism
  • phaeochromocytoma
  • renal artery stenosis
  • diabetes & endocrinology
  • general endocrinology
  • general medicine (see internal medicine)

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  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.